Sterker I, Frerich B
Klinik und Poliklinik für Augenheilkunde, Universitätsklinikum Leipzig, Liebigstrasse 10-14, 04103 Leipzig.
Ophthalmologe. 2007 Nov;104(11):978-82. doi: 10.1007/s00347-007-1501-5.
We report on two patients (38 and 52 years old) suffering from severe post-enucleation socket syndrome (PESS) after enucleation of the bulbus with postoperative irradiation of the orbit due to malignant eye tumors. The secondary reconstruction of the contracted eye socket was performed by a free vascularized radial forearm flap to create a permanent eye socket with augmentation of the content of the orbital space. In the follow-up period of 12 months the patients were able to wear a cosmetically acceptable ocular prosthesis without notable secondary graft contracture. The free vascularized radial forearm flap is an alternative procedure to a dermis fat graft for the secondary reconstruction of the orbit in patients with a severe PESS.
我们报告了两名患者（分别为38岁和52岁），他们因恶性眼肿瘤摘除眼球并进行眶部术后放疗后，患上了严重的眼球摘除后眼窝综合征（PESS）。通过游离带血管蒂桡侧前臂皮瓣对挛缩的眼窝进行二期重建，以创建一个永久性眼窝并增加眶腔内容物。在12个月的随访期内，患者能够佩戴外观可接受的义眼，且未出现明显的二期移植挛缩。对于患有严重PESS的患者，游离带血管蒂桡侧前臂皮瓣是用于眶部二期重建的真皮脂肪移植替代手术。
